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The Transgender Studies Reader. The quality of the sex lives of transsexuals improves significantly after the full treatment, especially sex reassignment, because this improves self-esteem, the sexual response, and the expression of sexuality. Introduction Transsexualism ICD[1] or gender identity disorder DSM-IV[2] is a condition in which a person's gender identity - the sense of being a man or a woman - contradicts his or her bodily sex characteristics. After an initial psychological evaluation, trans men and trans women may begin medical treatment, starting with hormone replacement therapy [64] [69] or hormone blockers. Spironolactone with physiological female steroids for presurgical therapy of male-to-female transsexualism. Long-term evaluation of cross-sex hormone treatment in transsexual persons. After being turned down for sex reassignment surgery due to not meeting necessary psychological evaluations, he then harvested female bodies to make a feminine suit.

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Table S1. Ischemic cerebrovascular disease and hormone therapy for infertility and transsexualism. J Nerv Ment Dis ; Presurgical adjustment in male transsexuals with and without hormonal treatment.

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Sex-reassigned persons also had an increased risk for suicide attempts aHR 4.

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